用解剖运动模式提升心超左室线性测量精度
EnLVAM: Enhanced Left Ventricle Linear Measurements Utilizing Anatomical Motion Mode
- 基于解剖M型图像训练地标检测器,强制直线约束提高准确性
- 相比传统方法,测量误差显著降低,跨模型泛化能力强
- 半自动设计只需用户划线,临床交互更简便
通过B模式超声心动图在心尖长轴视图中对左心室(LV)进行线性测量,对心脏评估至关重要。该过程需在靠近二尖瓣尖端的虚拟扫描线(SL)上标记4至6个解剖点,该扫描线垂直于左心室轴线。人工标记耗时且易出错,现有深度学习方法常出现地标错位,导致测量不准确。本文提出一种新框架,通过施加直线约束来增强左心室测量精度。首先在实时计算的解剖M型(AMM)图像上训练地标检测器,再将其结果映射回B模式空间。该方法有效缓解了地标错位问题,减少测量误差。实验表明,本方法在准确性上优于标准B模式方法,且在不同网络架构间具有良好泛化能力。采用半自动设计,用户仅需划定扫描线,简化操作流程的同时保持对齐灵活性与临床适用性。
原文摘要 · Abstract (English)
Linear measurements of the left ventricle (LV) in the Parasternal Long Axis (PLAX) view using B-mode echocardiography are crucial for cardiac assessment. These involve placing 4-6 landmarks along a virtual scanline (SL) perpendicular to the LV axis near the mitral valve tips. Manual placement is time-consuming and error-prone, while existing deep learning methods often misalign landmarks, causing inaccurate measurements. We propose a novel framework that enhances LV measurement accuracy by enforcing straight-line constraints. A landmark detector is trained on Anatomical M-Mode (AMM) images, computed in real time from B-mode videos, then transformed back to B-mode space. This approach addresses misalignment and reduces measurement errors. Experiments show improved accuracy over standard B-mode methods, and the framework generalizes well across network architectures. Our semi-automatic design includes a human-in-the-loop step where the user only places the SL, simplifying interaction while preserving alignment flexibility and clinical relevance.
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